Dental Board of California
Licensing details for: 1489
Name: NGUYEN DENTAL PRACTICE
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Address of Record
4545 GEORGETOWN PLACE, STE B-8
STOCKTON CA 95207
SAN JOAQUIN county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: NGUYEN, HAO VAN
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: NGUYEN, HAO VAN
License/Registration Type: Dentist License
License Number: 42076 Primary Status: Current - Active
Address :
4545 Georgetown Pl Ste B8
STOCKTON CA 95207-6230
SAN JOAQUIN COUNTY
